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Apply Now Form

Please fill out our form to the best of your ability.We will contact you very soon.

By completing and submitting this application, you are authorizing Magnolia Mortgage Company, LLC to obtain your credit report, verification of employment, income, assets or any other information necessary to process your loan application.

First Name:Enter First Name

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Email:Enter Email

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Company:Enter Company

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Message:Enter Your Message

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Cell Phone:Enter Cell Phone Number

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Home Phone:Enter Home Phone Number

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Home Address:Enter Address

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City:Enter City

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State:Enter State

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Zip code:Enter Zip

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Middle Name:Enter Middle Name

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Last Name:Enter Last Name

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Number of years on job:Enter Years on Job

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Gross Monthly Income:Enter GMI

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Social Security Number:Enter SSN

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Date of Birth:Enter DOB

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Co-Borrowers First Name:Enter Co First Name

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Co-Borrowers Middle Name:Enter Co Middle Name

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Co-Borrowers Last Name:Enter Co Last Name

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Co-Borrowers Employer:Enter Co Employer

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Co-Borrowers Years on Job:Enter Co Years on Job

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Co-Borrowers Gross Monthly Income:Enter Co GMI

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Co-Borrowers SSN:Enter Co SSN

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Co-Borrowers Date of Birth:Enter Co DOB

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* Approx. Loan Needed:Enter Loan Amount Needed

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* Loan Program in which I am Interested:

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Fixed

Adjustable

Other

VA

FHA

First Time Homebuyer

Home Improvement

* Loan Term I Prefer:

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Not Sure

10 Year

15 Year

20 Year

30 Year

Other

Property Location: * CityEnter Property Location: City

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Property Location: * StateEnter Property Location: State

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* Do you currently own a home?

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Yes

No

* If yes, is it to be sold?

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Yes

No

* If purchase, money available for down payment and closing costs:Enter Funds Available

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* How and when do you prefer to be contacted?Enter How You Would Like to be Contacted

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I am interested in a Loan:

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Home Purchase

Refinance

Second Home Loan

Renovation Loan

Const. / Perm. Loan

Other

Please rate your credit:

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Good

Fair

Poor

* The Property will be used for:

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Primary Residence

Secondary Home

Investment Property

Licenses: Magnolia Mortgage Company, LLC is a HUD, VA and USDA approved lender and is licensed by the Alabama State Banking Department.